Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,231.07 / $9,560.00 / $21,357.00	Facility		$2,231.07	$9,560.00	$21,357.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.88 / $425.59 / $2,155.94	Professional		$371.88	$425.59	$2,155.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,196.00 / $5,944.00 / $13,697.00	Facility		$1,196.00	$5,944.00	$13,697.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $460.91 / $692.69 / $1,307.02	Professional		$460.91	$692.69	$1,307.02
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $19,707.12	Facility		$67.90	$100.00	$19,707.12
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $329.86 / $480.47 / $1,095.41	Professional		$329.86	$480.47	$1,095.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $633.00 / $3,416.28 / $9,123.57	Facility		$633.00	$3,416.28	$9,123.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $405.05 / $535.03 / $1,160.10	Professional		$405.05	$535.03	$1,160.10
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $321.67 / $447.65 / $608.48	Professional		$321.67	$447.65	$608.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $374.01 / $490.93 / $884.36	Professional		$374.01	$490.93	$884.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,218.14 / $15,338.55 / $26,542.00	Facility		$2,218.14	$15,338.55	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,345.14 / $3,345.14 / $3,345.14	Professional		$3,345.14	$3,345.14	$3,345.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $582.52	Professional		$32.34	$32.34	$582.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $406.69 / $530.20 / $794.28	Facility		$406.69	$530.20	$794.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $405.46 / $559.77 / $1,101.24	Professional		$405.46	$559.77	$1,101.24
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,337.73 / $1,337.73 / $1,337.73	Professional		$1,337.73	$1,337.73	$1,337.73
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $321.67 / $450.33 / $579.00	Professional		$321.67	$450.33	$579.00
United Facility/Professional Facility Modifier Low / Median / High Price $3,064.00 / $9,606.00 / $21,278.00	Facility		$3,064.00	$9,606.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $330.40 / $461.67 / $1,015.55	Professional		$330.40	$461.67	$1,015.55